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ABA Therapy Hours and the 40-Hour Standard: Is Autism Treatment Intensity a Clinical Judgment or a Business Decision?

ABA Therapy Hours and the 40-Hour Standard: Is Autism Treatment Intensity a Clinical Judgment or a Business Decision?

by Ethan Webb | Apr 17, 2026 | Regulation

Key Takeaways The ABA field’s central dosage standard is meant to reflect individual clinical judgment, not blanket administrative policy. The Council of Autism Service Providers’ 2024 ABA Practice Guidelines recommend 30 to 40 hours of direct treatment...
Texas Medicaid: STAR Kids, the LBA Requirement, and a Fee Schedule That Pays More for Assessment Than Treatment

Texas Medicaid: STAR Kids, the LBA Requirement, and a Fee Schedule That Pays More for Assessment Than Treatment

by Ethan Webb | Apr 14, 2026 | Regulation

Key Takeaways Texas’s Medicaid ABA benefit launched February 1, 2022, more than five years after Indiana’s 2016 start. ABA coverage is available to Medicaid-enrolled members under 21 via EPSDT through both STAR and STAR Kids programs. Texas pays more than...
School-Based Mental Health Services Cut Suspensions and 911 Calls in Massachusetts. Now the Funding Is Running Out.

School-Based Mental Health Services Cut Suspensions and 911 Calls in Massachusetts. Now the Funding Is Running Out.

by Ethan Webb | Apr 2, 2026 | Regulation

Key Takeaways A four-year Massachusetts pilot placed free, on-site mental health services in 23 public schools and reduced emergency calls, suspensions, and behavioral incidents across participating campuses. The $5 million in philanthropic grant funding sustaining...
Federal Audits Expose Widespread Billing Failures in the ABA Industry: How Did We Get Here?

Federal Audits Expose Widespread Billing Failures in the ABA Industry: How Did We Get Here?

by Ethan Webb | Mar 26, 2026 | Regulation

In the windowless back offices of state Medicaid programs from Indianapolis to Augusta, auditors have spent the past two years poring over session notes, treatment plans, and billing codes. What they have found is prompting a sweeping reassessment of how America pays...
The Paper Trail: A $45.6 Million Medicaid Audit in Maine

The Paper Trail: A $45.6 Million Medicaid Audit in Maine

by Ethan Webb | Mar 20, 2026 | Regulation

In the world of Medicaid billing, the details matter. A signature at the bottom of an assessment. A notation in a session log describing which goals were addressed. A data point, recorded and filed, showing that a child made progress or didn’t. These are the...

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  • Success On The Spectrum Built the Country’s First ABA Franchise on Quality Audits, Owner-Operators, and a 30-Hour Rule. Founder Nichole Daher Is Betting the Coming Regulatory Wave Will Reward the Model.

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